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General NPI Number Information
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NPI Number | 1407717481
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Entity Type | Individual
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Provider Name | MARIE EDME JOSEPH SOCIAL WORKER
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Gender | Female
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Dates
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Enumeration Date | 11/19/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 760 BROADWAY
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City | BROOKLYN
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State | NY
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Zip | 11206-5383
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Country | US
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Telephone | 718-963-5866
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Fax | 718-963-5831
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Provider Business Mailing Address
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Address Line | 21635 114TH AVE
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City | CAMBRIA HEIGHTS
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State | NY
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Zip | 11411-1101
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Country | US
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Telephone | 347-465-9567
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Fax | 718-963-5631
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 100660
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License Number State | NY
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